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psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent-intrathecal
January 29, 2020 - Commentary
Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine?
Citation Text:
Reddy K, Brown B, Nanda A. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Clin Neurol Neu…
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psnet.ahrq.gov/issue/taking-detour-positive-and-negative-effects-supervisors-interruptions-during-admission-case
November 21, 2018 - Study
Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions.
Citation Text:
Goldszmidt M, Aziz N, Lingard LA. Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discuss…
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psnet.ahrq.gov/issue/accreditation-council-graduate-medical-education-technical-skills-competency-compliance
November 16, 2022 - Study
Accreditation Council on Graduate Medical Education technical skills competency compliance: urologic surgical skills.
Citation Text:
Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical Skills Competency Compliance: Urologic Surgical Sk…
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psnet.ahrq.gov/issue/patient-safety-dilemma-obesity-surgical-patient
October 29, 2012 - Study
A patient safety dilemma: obesity in the surgical patient.
Citation Text:
Goode V, Phillips E, DeGuzman P, et al. A Patient Safety Dilemma: Obesity in the Surgical Patient. AANA J. 2016;84(6):404-412.
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www.ahrq.gov/teamstepps-program/evidence-base/research.html
June 01, 2023 - TeamSTEPPS Research and Tools
Agency for Healthcare Research and Quality. (2006). TeamSTEPPS™ Guide to Action: Creating a Safety Net for your Healthcare Organization . AHRQ Publication No. 06-0020-4.
Castner, J. (2012). Validity and reliability of the Brief TeamSTEPPS Teamwork Perceptions Questionnaire. Jo…
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psnet.ahrq.gov/issue/decision-support-tools-systems-and-artificial-intelligence-cardiac-imaging
October 19, 2022 - Review
Decision support tools, systems, and artificial intelligence in cardiac imaging.
Citation Text:
Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04…
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psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electronic-medical-record
June 12, 2013 - Study
Copying and pasting of examinations within the electronic medical record.
Citation Text:
Thielke S, Hammond K, Helbig S. Copying and pasting of examinations within the electronic medical record. Int J Med Inform. 2007;76 Suppl 1:S122-8.
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psnet.ahrq.gov/issue/implementation-medication-error-reporting-through-med-safe-tool-clinical-pharmacists-and
December 16, 2011 - Study
Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach.
Citation Text:
Elnour AA, Ellahham NH, Al Qassas HI. Implementation of Medication Error Reporting Through Med Safe Tool. J Patient …
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psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system
September 28, 2010 - Study
Classic
A classification system for incidents and accidents in the health-care system.
Citation Text:
Runciman WB, Helps SC, Sexton EJ, et al. A classification for incidents and accidents in the health-care system. J Qual Clin Pract. 1998;18(3):199-211.
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psnet.ahrq.gov/issue/relationship-between-electronic-health-records-and-malpractice-claims
August 05, 2009 - Study
The relationship between electronic health records and malpractice claims.
Citation Text:
Quinn MA, Kats AM, Kleinman K, et al. The relationship between electronic health records and malpractice claims. Arch Intern Med. 2012;172(15):1187-9. doi:10.1001/archinternmed.2012.2371.
Co…
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psnet.ahrq.gov/issue/blood-sampling-guidelines-focus-patient-safety-and-identification-review
August 10, 2016 - Review
Blood sampling guidelines with focus on patient safety and identification—a review.
Citation Text:
Cornes M, Ibarz M, Ivanov H, et al. Blood sampling guidelines with focus on patient safety and identification - a review. Diagnosis (Berl). 2019;6(1):33-37. doi:10.1515/dx-2018-0042.…
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psnet.ahrq.gov/issue/evidence-summary-and-recommendations-improved-communication-during-care-transitions
October 19, 2022 - Review
Evidence summary and recommendations for improved communication during care transitions.
Citation Text:
Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj…
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psnet.ahrq.gov/issue/identifying-and-reducing-distractions-and-interruptions-pharmacy-department
August 22, 2015 - Study
Identifying and reducing distractions and interruptions in a pharmacy department.
Citation Text:
Raimbault M, Guérin A, Caron E, et al. Identifying and reducing distractions and interruptions in a pharmacy department. Am J Health Syst Pharm. 2013;70(3):186, 188, 190. doi:10.2146/aj…
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psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis-voluntary
January 06, 2017 - Study
Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database.
Citation Text:
Zhan C, Hicks RW, Blanchette CM, et al. Potential benefits and problems with computerized prescriber order entry: analysis of a vo…
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psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting
July 30, 2014 - Study
Participation in a system-thinking simulation experience changes adverse event reporting.
Citation Text:
Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473.…
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psnet.ahrq.gov/issue/raising-awareness-inpatient-nursing-staff-about-medication-errors
February 15, 2011 - Study
Raising the awareness of inpatient nursing staff about medication errors.
Citation Text:
Elnour AA, Ellahham NH, Qassas HIA. Raising the awareness of inpatient nursing staff about medication errors. Pharm World Sci. 2008;30(2):182-90.
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psnet.ahrq.gov/issue/whats-psychology-got-do-it-applying-psychological-theory-understanding-failures-modern
July 10, 2017 - Commentary
"What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings.
Citation Text:
Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding failures in modern healthcare sett…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-medications-and-clinical-decision-support-can-improve
May 29, 2019 - Study
Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance.
Citation Text:
Galanter W, Hier DB, Jao C, et al. Computerized physician order entry of medications and clinical decision support can improve problem…
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psnet.ahrq.gov/issue/quality-and-strength-patient-safety-climate-medical-surgical-units
February 15, 2011 - Study
Quality and strength of patient safety climate on medical–surgical units.
Citation Text:
Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a.
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psnet.ahrq.gov/issue/sterile-compounding-clinical-legal-and-regulatory-implications-patient-safety
March 20, 2024 - Review
Sterile compounding: clinical, legal, and regulatory implications for patient safety.
Citation Text:
Qureshi N, Wesolowicz L, Stievater T, et al. Sterile compounding: clinical, legal, and regulatory implications for patient safety. J Manag Care Spec Pharm. 2014;20(12):1183-1191.
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